I can see the status bar

Chapter 190 Stitches (Part [-])
Sitting on the stool, Sun Li'en felt a little depressed.After Pascal left, he saw five more patients in a row.The most serious one was a 67-year-old grandpa.Severe sequelae of diarrhea caused by eating a bad stomach-prolapse of the anus.After confirming that the patient's vital signs were basically stable, Sun Lien transferred the patient to the inpatient department of anorectal surgery.Thanks to the status bar confirming that the patient is only slightly dehydrated, otherwise he might have to send the person to the emergency room to hang two bottles of normal saline.

According to Zhou Jun's plan, Sun Li'en is a deputy class today.Working hours start in the afternoon and continue until eight o'clock the next morning.Up to now, six patients have been treated, and Sun Lien received 30 yuan in outpatient fees alone, excluding the cost of examination and treatment. Sun Lien can get half of the 10 yuan night emergency registration fee.With six more patients, the outpatient fee would almost cover his subsidized wages.Sun Lien, who finally felt that he had made money, was full of motivation.It's just that the night shift is hard after all, and most of the patients who come to the emergency clinic are not very serious level [-] patients.He was a little out of sorts.

People are really cheap to say the least.In the emergency room, he worked hard every day, tired like a dead dog, and his biggest wish was to find a place to sleep hard for three days and three nights.Now that he came to the emergency clinic, Sun Lien actually felt a little bored.

This is not good.Sun Lien, who had just been educated by Dr. Pascal, soon began to reflect on himself.Perhaps to a doctor, an ordinary nighttime emergency visit may not seem challenging, and it may even be a bit dull.But for every patient who is not at home at night and rushes to the emergency room, what they encounter is a big thing.The fear of the disease and the discomfort caused by the disease made them tense, and almost everyone was on the verge of going berserk.

The emergency department is the department that faces the most violent conflicts in the entire hospital. In addition to simple medical troubles, the emergency department also often receives patients with accidental trauma caused by various reasons.And most of these people have drunk alcohol.

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Sun Lien saw a doctor for the mother of the young man who spoke out before. The B-ultrasound diagnosis showed that there were many stones with a diameter of about one millimeter in the right kidney of the old man, and a stone about 1.8 millimeters in diameter was stuck in the ureter. of small stones.Although the stone stuck in the ureter generally does not pose a direct threat to the patient's life, the renal colic caused by this small thing is really uncomfortable.Once the onset of renal colic enters the persistent stage, it will cause severe pain that lasts for more than one hour.In some extreme cases, the pain can even last for more than 12 hours.

What needs to be pointed out here is that this kind of pain is not the level of cutting fingers.Rather, it surpasses fractures and even childbirth pain, and is called "the most painful feeling in human history" level four pain-the so-called childbirth pain is as high as level 0. This statement is completely fabricated by netizens.According to the WHO classification, there are five levels of pain ranging from 4 to [-].The most serious is grade [-] severe pain that can cause blood pressure and pulse changes, fractures, surgery, childbirth, renal colic, etc. are grade [-].Because renal colic lasts for a long time and there is no weakness in the middle, generally speaking, renal colic is even more painful than childbirth-there are still intervals between contractions!
Racemic anisodamine hydrochloride and progesterone were prescribed by Sun Lien to the young man's mother.For renal colic, the first priority is not to relieve the pain immediately, but to relieve the spasm of ureteral smooth muscle.Progesterone and racemic anisodamine hydrochloride are relatively common anticonvulsants in clinical practice.As for the treatment of the kidney stone itself, Sun Lien plans to transfer the patient to the urological inpatient department after the patient's condition is stable, and then perform surgery as soon as possible.

After taking care of the sixth patient, Sun Lien suddenly heard a noise from the emergency room.Out of professional sensitivity, and because he had just taken care of a patient, Sun Lien poked his head out of the consulting room and took a look.Unexpectedly, as soon as he probed, he was seen by Zhou Jun in the distance.

"What are you still doing?" Zhou Jun waved at Sun Li'en, "Hurry up and help!"

In the emergency room of the hospital, four NO.50 people poured in.From a distance, they are all men, and most of them are young men.When Sun Li'en got a little closer, a cold wind with the smell of wine mixed with blood came in from the door.

This is a group of real estate agents who just got off work.Most of them were wearing suits and ties, but their white shirts had already been stained with large blood stains, and all of them staggered under the influence of alcohol, and couldn't even stand upright.Followed around this group of people were more than 20 policemen with nervous expressions.

"Teacher Zhou, what's the matter?" Sun Lien took new rubber gloves from Xiao Guo and put them on.Since the accident happened a few days ago, the hospital's infection department once again showed its power.Now every emergency doctor has to wear protective glasses to prevent bodily fluid splashes in addition to gloves and masks.A group of doctors dressed up like the evil scientists in the movie.

"I drank too much in the KTV, and got into a fight with people in another room." Zhou Jun's answer was concise and direct, "Hurry up and deal with it. In 10 minutes, another group of people will have to come to our hospital for treatment."

There is a very large KTV in Sun City near the Fourth Central Hospital.Although it is located in a commercial area, under the banner of low prices, the business is doing well.But today, this KTV was a disaster.The guests in the two oversized private rooms clashed.The group fight between the two groups not only attracted the police, but also smashed the things in the room.

These two super-large private rooms are not too close, and there are seven or eight medium-sized private rooms between them.It's just that I didn't expect that the two groups of people who came to sing, drink and organize team building today are not easy to mess with.One side is the real estate agent, while the other side is the salesperson of the 4S shop.

The cause of the incident is a bit vague, but the general situation is that the little girl from the 4S shop and the little girl from the real estate agency drank too much and got anxious, but the toilet in the private room had already been vomited to a mess by other colleagues and could not be used at all.So they can only step on high heels and dangle outside to go to the toilet.He swayed from side to side, and bumped against the door of the toilet.

People who drink too much are unreasonable, but the little girl who is usually protected by her male colleagues suddenly feels wronged.The two tore up at the door of the toilet first, and then each decided to go back to call someone in their torn clothes.

A group of drunken men in the 4S store saw their female colleague's disheveled clothes, and thought that the little girl must have met a hooligan.There was no need for a suggestion, a group of people immediately picked up beer bottles filled with righteous indignation, and rushed towards the toilet.Then he kicked every door he saw, and entered every room he encountered. After kicking down more than a dozen doors, he finally found real estate agents who were also carrying wine bottles and were ready to fight.

There are more beer bottles flying in the sky, which can also create the effect of covering the sky and blocking out the sun.

The intermediaries were caught off guard, and several of them were fired immediately.But the people in the 4S store obviously had a huge disadvantage - each of them had a wine bottle in their hand.After the first wave of firepower was suppressed, the follow-up was weak.Next, these dozens of people were thrown out by hundreds of wine bottles that fought back.

The battle process in the middle is omitted.In short, when the police comrades arrived at the scene, the corridor between the two private rooms was covered with broken wine bottles.And the couple trapped in the middle hugged each other in a blind corner, shivering as they watched the wine bottles flying all over the sky.

Comrades from the anti-riot team carried shields and anti-explosion rubber sticks, lined up and smashed the drunks on both sides to the ground.Then they were dragged in batches to the nearest Fourth Central Hospital for initial treatment—as for the follow-up work, it depends on the loss of the store that called the police.Anyway, comrades from the Municipal Criminal Police Team have already rushed to the hospital, and the detention center in the quiet area may be overcrowded tonight.

Zhou Jun was a little dissatisfied with the fact that the police sent so many people without even saying hello in advance.Fortunately, most of these drunks were not seriously injured.At least the people on the intermediary side can still stand on their own.Except for one who had several teeth knocked out, the most seriously injured one suffered from a mild concussion—of course, judging by the way he staggered and vomited vigorously, he might have been drinking too much.

The key to distinguish between vomiting and unconsciousness in drunken patients is to distinguish whether the patient has cerebral hemorrhage or has drunk too much.Many times, both conditions will co-exist in the same patient.After all, not to mention the slow reaction of drunk people, when encountering any accident, they may not even have a subconscious self-protection posture.However, it seemed that it was just a slight fall, but because there was no protective posture, cerebral hemorrhage occurred from time to time.

Fortunately, Sun Li'en glanced at the guy with a slight concussion, and there was no indication of cerebral hemorrhage on the status bar.Since there is no prompt, it does not need to be prioritized.As for the emergency brain CT later, what should be done is still to be done, even if it charges him an extra sum of money to let Zhang Chang remember not to drink so much in the future, it would be good.

Because of the smell of alcohol on this group of people, and the fact that it is difficult to comply with the doctor's instructions after drinking too much.Zhou Jun immediately decided to leave a section of the emergency room to gather the crowd.Other doctors who were not particularly urgent came to support, each with a needle holder, a box of skin suture needles, and a nurse with an ugly face holding a curved plate and sterilizing instruments. With so many traumas, the nurses will have to work hard for a while just waiting to clean up the mess.

There will be noise when there are too many people, and noise will definitely attract more people.It didn't take long for the less urgent patients in the waiting area of ​​the emergency room to come over and watch the excitement.Because lidocaine may act synergistically with alcohol in the human body, leading to enhanced drug effects, and may even depress the central nervous system.Therefore, when the medical staff sew needles, they simply do not perform anesthesia, and directly stitch the needles-the pain is better than the accident.A group of real estate agents who had just fought bloody battles were about to shatter the glass.This news really shocked the listener and shed tears.

　Yuan Bao is slowly improving. Although he is still lethargic and his appetite is not good, at least the most serious symptoms have been brought under control.

　　It's really too slow these days, and I would like to say sorry to all the readers.

　　Two updates today, express first.When Yuanbao is completely cured, I will go all out to "write the fifth update now" in Sanguan.

　　Thank you readers for your tolerance and support, thank you!

　　
　
(End of this chapter)